2018—2019年江苏省沭阳县二级以上综合医院肺结核报告及转诊质量分析

Analysis on reporting and referral quality of pulmonary tuberculosis cases by general hospitals above level Ⅱ in Shuyang County,Jiangsu Province during 2018—2019

江苏省沭阳县疾病预防控制中心分别于2018年和2019年年末对全县8家二级以上综合医院结核病相关科室(包括门诊、放射科、检验科、病案室等)的登记资料进行督查,发现2018年和2019年登记的疑似肺结核患者报告率、转诊率、转诊到位率分别为92.38%(788/853)和96.79%(753/778)、82.88%(707/853)和90.23%(702/778)、86.42%(611/707)和95.58%(671/702),差异均有统计学意义(χ2值分别为15.156、18.681、36.255,P值均<0.001)。认为两年间江苏省沭阳县8家二级以上综合医院对结核病患者的报告、转诊、转诊到位情况均较好,且2019年各项指标均优于2018年,仍有进一步提高的空间。

Shuyang Center for Disease Control and Prevention inspected the registration data of tuberculosisrelated departments(including outpatient department,radiology department,laboratory department and record room,etc.)in eight general hospitals at or above levelⅡin Shuyang County in 2018 and 2019.The results showed that report rate(92.38%,788/853),referral rate(82.88%,707/853)and referral arrival rate(86.42%,611/707)in 2018 were significantly lower than those in 2019(96.79%,753/778;90.23%,702/778;95.58%,671/702)(χ2 values were 15.156,18.681 and 36.255,Pvalues were all less than 0.001).Consider that the report rate,referral rate and referral arrival rate in 8 general hospitals at or above levelⅡ are satisfactory in 2018 and2019,and all indicators in 2019 are higher than those in 2018,there is still room for further improvement.